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Organization
CONSUMER'S CHOICE HOME, LLC.
Active
Organization
CONSUMER'S CHOICE HOME, LLC.
Active
Other names
Kate's Home Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORVILLE CASTELAR DY (MEMBER)
(909) 899-5773
Entity
Organization
Contact information
Practice address
13100 RIESLING DR, RANCHO CUCAMONGA, CA 91739-9406
(909) 899-5773
Mailing address
PO BOX 86, RANCHO CUCAMONGA, CA 91739-0086
(909) 899-5773
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
366411417
CA
Other
Enumeration date
07/23/2009
Last updated
07/23/2009
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